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General NPI Number Information
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NPI Number | 1649915018
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Entity Type | Individual
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Provider Name | BRIANNA MAUREEN BECK LCPC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2022
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Last Update Date | 05/01/2022
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST STE 1808
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City | CHICAGO
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State | IL
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Zip | 60602-1751
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Country | US
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Telephone | 630-277-9466
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Fax |
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Provider Business Mailing Address
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Address Line | 1246 W PRATT BLVD APT 701
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City | CHICAGO
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State | IL
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Zip | 60626-4386
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Country | US
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Telephone | 765-376-0109
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.014422
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License Number State | IL
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